Background :The mechanism of the fractures is many a time due to high energy trauma with comminution and displacement, leading to a delay in healing. If attention is not paid to proper rotational and axial alignment, severe functional disability may result. Associated injuries were often the important determinant of treatment  

so for careful evaluation of fractures when treating the patient is essential. So the purpose of the study was to highlight on management of associated injuries and early complications in treatment of fracture shaft of tibia and fibula. Material & Methods: A series of a consecutive 100 cases of fractures of the shaft of the tibia and fibula, was studied. Closed and open fractures were studied. No single method of management was used and the overall results of the whole study, were evaluated.          Majority of the fractures were the consequences of road traffic accidents, agricultural mishaps, and a few had as–sault injuries and fall from a height.  Results : In the present series, 62 % of the cases had associated injuries involving the axial and appendicular skeleton and other organs and viscera. These included blunt trauma to the abdomen (3 %), blunt trauma to the chest (1 U. head injury (15 %) other bony injuries (31 %), dislocations (7 %), and soft tissue injuries (7 %).  Conclusion : In this present series the overall rate of infection was higher, this is because, increased incidence of high energy trauma, contaminated wounds, delay in reporting to the hospital, low resistance of the patient due to chronic anaemia and resistant strains of infecting organisms.